[Mini-sling versus transobturator sling: Efficiency and morbidity].

Area of Science:

• Urology
• Gynecology
• Surgical Innovation

Background:

• Stress urinary incontinence (SUI) significantly impacts women's quality of life.
• Suburethral slings are a common surgical treatment for SUI.
• Comparing different sling types is crucial for optimizing patient outcomes.

Purpose of the Study:

• To compare the effectiveness of the ALTIS mini-sling versus the TVT-ABBREVO conventional sling for treating female SUI.
• To evaluate success rates, patient satisfaction, and morbidity associated with each sling type.

Main Methods:

• A retrospective study included 92 female patients undergoing surgery for SUI.
• Patients received either the ALTIS mini-sling or the TVT-ABBREVO sling.
• Success was defined by cough test, quality of life scores (PGI-I), and the USP questionnaire.

Main Results:

• Both slings demonstrated similar success rates regarding cough tests and USP scores.
• Patient satisfaction (PGI-I score of 1) was higher in the TVT-ABBREVO group (67.9%) compared to the ALTIS group (46.2%).
• Immediate postoperative pain was lower with ALTIS, but this difference diminished after one week. Complication rates were similar.

Conclusions:

• The ALTIS mini-sling and TVT-ABBREVO sling offer comparable functional results for female SUI treatment.
• While ALTIS provides less initial pain, TVT-ABBREVO leads to higher patient satisfaction.
• Both surgical options are viable for SUI management, with distinct profiles in early recovery and satisfaction.